PN1 EXAM 3 Questions with 100% Correct Answers

ABG levels are obtained for a client. Results: PH: 7.48, PACO2: 42, HCO3: 32, the client is exhibiting which of the following acid base imbalance? Correct Answer Metabolic Alkalosis Nurse would suspect that a client who frequently uses which medication is at risk for developing metabolic alkalosis Correct Answer Calcium Carbonate (TUMS) The nurse records a patient's hourly urine output from an indwelling catheter as follows: 0700: 36ml , 0800: 45ml, 0900: 85ml, 1000: 62ml, 1100: 50ml, 1200:48ml, 1300: 94ml, 1400:78ml, 1500:60ml. Nurse can conclude that the patient's urine output should be described as Correct Answer Within normal limits A client is admitted with severe diarrhea. ABG results are PH: 7.33, PaCO2: normal, HCO3: 20. The nurse concludes this client has which acid base imbalance? Correct Answer Uncompensated metabolic acidosis Identify the appropriate intervention(s) for a patient with hypovolemia. SATA Correct Answer B. monitor I/O daily , C. encourage fluid intake D. Monitor electrolyte balance While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching on immunosuppression when she states which of the following? Correct Answer "The medications that I take will help prevent my body from attacking my new kidney" The nurse assess four patients at the beginning of the shift. Which finding should the nurse report most urgently to the physician? Correct Answer Positive Chvostek's sign in patient with acute pancreatitis The nurse is completing a physical assessment with a client which of the following findings could be caused by impaired immune function in the client? Correct Answer Leg rash Which set assessment data is consistent for a patient with severe infection that could lead to system failure Correct Answer BP:90/48, P:112bpm, R:26, urine output: 240ml / 24hr. Patient is receiving IV infusion of lactated ringers solution and 40meq of KCL at 100ml/hr. When assessing the IV site, the nurse notes swelling, erythema, and warmth. There is a palpable cord along the vein, and the infusion is sluggish. The patient is